Individual provider Active NPI

Sylvester Obanya Okonkwo, MD

  • Internal Medicine Physician
  • Oxon Hill, MD
National Provider Identifier
1801897582
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0055314 Issued in MD
Practice address
6192 Oxon Hill Rd
Ste 507
Oxon Hill, MD 20745-3114
Phone
(301) 839-0800
Fax
(301) 839-8088
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0055314 MD Primary

Addresses

Primary practice location

6192 Oxon Hill Rd
Ste 507
Oxon Hill, MD 20745-3114

Mailing address

6192 Oxon Hill Rd
Ste 507
Oxon Hill, MD 20745-3114
Phone (301) 839-0800

Other identifiers 1

IdentifierTypeStateIssuer
113703400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101025000109 DC Practitioner - Internal Medicine 8527145341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6192 Oxon Hill Rd
Oxon Hill, MD 20745-3142
Phone (301) 839-0800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bendel Medical Associates LLC Internal Medicine CurrentSince Nov 1, 2000 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
National Emergency Services District of Columbia Inc Past Accepting new patients

Locations

6188 Oxon Hill Rd
Ste 305
Oxon Hill, MD 20745

6192 Oxon Hill Rd
Ste 507
Oxon Hill, MD 20745
Phone (301) 839-0800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356480000000",
    "number": "1801897582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6192 OXON HILL RD",
            "address_2": "STE 507",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453114",
            "telephone_number": "301-839-0800",
            "fax_number": "301-839-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6192 OXON HILL RD",
            "address_2": "STE 507",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453114",
            "telephone_number": "301-839-0800",
            "fax_number": "301-839-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKONKWO",
        "first_name": "SYLVESTER",
        "middle_name": "OBANYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2012-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0055314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113703400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

Verify at the official NPI Registry.